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Management Practice, and Adherence and Its Contributing Factors among Patients with Chronic Kidney Disease at Tikur Anbessa Specialized Hospital: A Hospital Based Cross-Sectional Study
المؤلفون المشاركون
Kefale, Belayneh
Engidawork, Ephrem
Tadesse, Yewondwossen
Alebachew, Minyahil
المصدر
International Journal of Nephrology
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-15، 15ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-07-29
دولة النشر
مصر
عدد الصفحات
15
التخصصات الرئيسية
الملخص EN
The objective of this study was to assess the management practice, medication adherence, and factors affecting medication adherence in CKD patients at Tikur Anbessa Specialized Hospital (TASH).
Methods.
A cross-sectional study was conducted at the nephrology clinic of TASH.
A total of 256 CKD (stages 1 and 2=50, stage 3=88, stage 4=55, and stage 5=63) patients were recruited through systematic random sampling.
Data were collected from medical records and interviewing patients.
The rate of adherence was determined using 8-item Morisky medication adherence scale.
The data were analyzed using SPSS version 20.0 statistical software.
Univariate and multivariate binary logistic regression were used to investigate the potential predictors of medication nonadherence.
Results.
About 57.3% of diabetes mellitus with hypertension were treated with combination of insulin and ACEI based regimens.
Other cardiovascular comorbidities were predominantly treated with Acetyl Salicylic Acid in combination with β-blocker.
Only 61.3% (stages 1 and 2=70%, stage 3=73.9%, stage 4=54.5%, and stage 5=43%) of the study population were adherent to their treatment regimens.
Forgetfulness (79.8%) was the major reason for medication nonadherence.
Patients who had an average and high monthly income were 4.14 (AOR=4.14, 95% CI: 1.45-11.84, p=0.008) and 6.17 times (AOR=6.17, 95% CI: 1.02-37.46, p=0.048) more likely to adhere as compared to those who had very low income.
Patients who were prescribed with ≥5 drugs were 0.46 times (AOR= 0.54, 95% CI: 0.27-1.10, p=0.049) less likely to adhere compared to their counterpart.
Patients who were students, drivers, or teachers working in private school were about 7.46 times (AOR=7.46, 95% CI: 1.49-37.26, p=0.014) more likely to adhere compared with patients who were farmers.
Conclusion.
Insulin and ACEIs based regimens were the most frequently used regimens in the treatment of diabetes mellitus and hypertension comorbidities.
Very low income, increased number of prescribed medications, and being a farmer were the predictors of medication nonadherence.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kefale, Belayneh& Tadesse, Yewondwossen& Alebachew, Minyahil& Engidawork, Ephrem. 2018. Management Practice, and Adherence and Its Contributing Factors among Patients with Chronic Kidney Disease at Tikur Anbessa Specialized Hospital: A Hospital Based Cross-Sectional Study. International Journal of Nephrology،Vol. 2018, no. 2018, pp.1-15.
https://search.emarefa.net/detail/BIM-1173596
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kefale, Belayneh…[et al.]. Management Practice, and Adherence and Its Contributing Factors among Patients with Chronic Kidney Disease at Tikur Anbessa Specialized Hospital: A Hospital Based Cross-Sectional Study. International Journal of Nephrology No. 2018 (2018), pp.1-15.
https://search.emarefa.net/detail/BIM-1173596
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kefale, Belayneh& Tadesse, Yewondwossen& Alebachew, Minyahil& Engidawork, Ephrem. Management Practice, and Adherence and Its Contributing Factors among Patients with Chronic Kidney Disease at Tikur Anbessa Specialized Hospital: A Hospital Based Cross-Sectional Study. International Journal of Nephrology. 2018. Vol. 2018, no. 2018, pp.1-15.
https://search.emarefa.net/detail/BIM-1173596
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1173596
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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